Tension‐Type Headache – The Normal and Most Prevalent Headache

Premise Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential dia...

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Published inHeadache Vol. 58; no. 2; pp. 339 - 345
Main Author Jensen, Rigmor Højland
Format Journal Article
LanguageEnglish
Published United States Wiley Subscription Services, Inc 01.02.2018
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Abstract Premise Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. Potential Solution A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.
AbstractList Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.PREMISETension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache.In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed.PROBLEMIn this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed.A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.POTENTIAL SOLUTIONA structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.
Premise Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. Potential Solution A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.
Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.
Premise Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. Problem In this article, the epidemiology and diagnostic challenges of TTH are presented and discussed. The typical features and differential diagnosis of TTH are highlighted and the situations more likely to raise doubts are discussed. Potential Solution A structured approach to the patient and a better comprehension of the very frequent coexistence of migraine and medication overuse headache in the clinical population are emphasized. According to the IHS classification, several diagnoses should be applied but still some clinicians prefer to apply a single combined diagnosis in the severely affected patients, namely chronic migraine. Such uneven practice may complicate the diagnostic comparability and the entire management of TTH. The present treatment strategies for TTH are summarized and hopefully an increased awareness of TTH can translate into better quality of care and a more specific diagnosis and treatment for the numerous TTH sufferers.
Author Jensen, Rigmor Højland
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Issue 2
Keywords prevalence
treatment
primary headache
clinical presentation
tension-type headache
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2017 American Headache Society.
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Snippet Premise Tension‐type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache....
Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache. In this...
Premise Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied headache....
Tension-type headache (TTH) is the most prevalent form of primary headache in the general population but paradoxically the least studied...
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SubjectTerms clinical presentation
Coexistence
Diagnosis
Diagnosis, Differential
Diagnostic systems
Differential diagnosis
Drugs
Epidemiology
Headache
Headaches
Humans
Migraine
Prevalence
primary headache
Tension
Tension-Type Headache - diagnosis
Tension-Type Headache - epidemiology
Tension-Type Headache - therapy
tension‐type headache
treatment
Title Tension‐Type Headache – The Normal and Most Prevalent Headache
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fhead.13067
https://www.ncbi.nlm.nih.gov/pubmed/28295304
https://www.proquest.com/docview/1994583064
https://www.proquest.com/docview/1877855643
Volume 58
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